Insurance Verifier

Description

For 25 years, AICA Orthopedics has been a leader in integrated orthopedic care across metro Atlanta. With 21 locations and a state-of-the‑art surgery center, we’re a growing team of 400+ professionals committed to exceptional patient care. We’re transforming healthcare delivery through our multidisciplinary approach that brings together orthopedic surgeons, neurologists, chiropractors, physical therapists, and pain management experts under one roof.

The Insurance Verifier plays a critical role in AICA Orthopedics’ financial performance by ensuring maximum appropriate reimbursement for patient services. As the frontline of our revenue cycle, you’ll directly impact our practice’s financial health by optimizing insurance verification processes, identifying all available payment sources, and establishing clear pathways to payment for services rendered.

As an Insurance Verifier, you’ll drive financial results by:

• Maximizing revenue capture through comprehensive verification of all potential payment sources
• Reducing claim denials through accurate pre-service verification and documentation
• Accelerating cash flow by identifying and addressing coverage issues before service delivery
• Improving patient financial experience through clear communication about coverage and benefits
• Supporting practice growth by enabling informed decisions about treatment authorization

• Achieve or exceed monthly verification targets that support departmental collection goals
• Identify and secure all available payment sources, prioritizing Med Pay and Major Medical
• Document and communicate coverage details that ensure clean claims submission
• Proactively identify and resolve potential reimbursement obstacles before they affect collections

• Maintain high accuracy rates in benefit verification and documentation
• Process 35+ patient accounts daily with thorough verification
• Complete 25+ productive carrier and patient communications daily
• Ensure all verification information is properly documented in case management and practice management systems

• Provide timely alerts to clinical and corporate staff regarding coverage limitations
• Partner with MP and MM teams to optimize billing of applicable policies
• Deliver clear explanations to patients regarding financial responsibilities

• Identify opportunities to streamline verification workflows
• Contribute ideas to enhance team performance and productivity
• Adapt quickly to evolving payer requirements and internal processes
• Help develop best practices for personal injury and medical benefits verification

• Required:
  • High School diploma (college coursework a plus)
  • 2+ years of experience in insurance verification
  • Proficiency with MS Office, Excel, and Outlook
  • Strong communication skills with patients, insurance carriers, and internal teams
  • Results-oriented mindset with focus on measurable outcomes
  • Detail-oriented approach with strong organizational abilities
  • Ability to multitask in a fast-paced environment while maintaining accuracy
• Preferred:
  • Experience with Next Gen Practice Management
  • Knowledge of medical billing terminology and processes
  • Previous experience in orthopedic or multi‑specialty medical practices
  • Understanding of personal injury insurance and claims processes
  • Understanding of health insurance and claims processes

• Career Advancement: Pathway to senior verification specialist, team lead, or broader revenue cycle management roles
• Skill Development: Ongoing training in insurance processes, healthcare reimbursement, and emerging payment models
• Performance Recognition: Regular feedback and rewards for exceeding verification and collection targets
• Cross‑Functional Exposure: Interaction with billing, collections, and clinical operations teams

• Take ownership of verification metrics and their impact on overall collections
• Approach each account with thoroughness and attention to detail
• Develop…